高血压脑出血并发消化道出血预测

Foreknowing the Digestive Tract Hemorrhage Complicated in the Cerebsal Hemorrhage with Hypertension

86例高血压脑出血病例有22例并发消化道出血,发生率25.6%,其死亡率较无消化道出血者明显增高,二者差异有显著性意义.认为脑力劳动、颅内高压、昏迷、瞳孔不等大或散大、高热、血压波动大,严重合并症、感染 脑脊液压力增高或颜色异常为并发消化道出血的有关因素.随着这些因素积分的增加,消化道出血率增加,熟悉这些因素能预测消化道出血,从而采取防治措施,可减少并发消化道出血.

In 86 cases of cerebral hemorrhage With hypertention from 1981 to 1988,there were 22 cases complicated by digestive tract hemorrage, the death rate of which was visibly higher than those of no DTH. There was a significant difference between these groups. The correlative factors of the complication by DTH in BH patients with hypertension were analysed.These factcrs were intellec -tual employments, intracramicul hypertension, coma, ani socoria, or mydriasi s, high feyer, f luctating blood pressure, severe complications, infection,raising pressure 1 abmormal colour of the cerebrospinal fluid.It was obvious that with more correlative factor,the possibility of complicating DTH would be rai sed. knowing these factors conrtibuted to foreknowing DTH and taking preventive measures to diminish DTH in the BH patients with hypertension.